A nurse is caring for a client who has throat cancer and is receiving radiation therapy. The client reports nausea, stomatitis, and weight loss. Which of the following dietary interventions should the nurse recommend?
Increase intake of liquids at mealtime.
Serve foods hot.
Consume foods high in fat content.
Select foods high in protein.
The Correct Answer is D
Throat cancer and radiation therapy can cause various side effects, including nausea, stomatitis (inflammation of the mouth), and weight loss. In this situation, it is important to focus on nutritional support and addressing the client's symptoms.
Selecting foods high in protein is recommended for this client. Protein is essential for tissue repair and maintaining muscle mass, which is crucial for recovery and preventing further weight loss. Foods high in protein include lean meats, poultry, fish, dairy products, eggs, legumes, and tofu. The nurse can work with a registered dietitian to develop a meal plan that incorporates protein-rich foods while considering the client's preferences and any specific dietary restrictions.
Regarding the other options:
● Increase intake of liquids at mealtime: While it is important for the client to maintain hydration, increasing liquid intake at mealtime may contribute to a feeling of fullness and exacerbate nausea. It is generally recommended to consume liquids between meals rather than with meals.
● Serve foods hot: Serving foods hot may not directly address the client's symptoms. The temperature of the food is unlikely to alleviate nausea, stomatitis, or weight loss.
● Consume foods high in fat content: Foods high in fat content may be difficult to tolerate for a client experiencing nausea and stomatitis. Additionally, focusing on increasing protein intake is generally a higher priority than increasing fat intake for a client experiencing weight loss
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
In type 1 diabetes mellitus, when blood glucose levels are consistently high, the body may start breaking down fat for energy, leading to the production of ketones. Ketones can be detected in urine as a result. A blood glucose level of 190 milligrams per deciliter is elevated and can potentially trigger the production of ketones. Monitoring urine for ketones can be an important indicator of diabetes management and helps identify potential complications.
The other statements by the client indicate a lack of understanding or potential misconceptions:
● "I will keep my blood glucose levels between 200 and 212 milligrams per deciliter": This statement suggests a target range that is higher than the recommended target blood glucose levels for individuals with diabetes. Generally, the target range for blood glucose levels in individuals with diabetes is lower, typically between 80-130 mg/dL before meals and below 180 mg/dL after meals.
● "Albumin in my urine is an indication of normal kidney function": This statement is incorrect. The presence of albumin in the urine, called albuminuria, is an indication of kidney damage or dysfunction. It is a common sign of kidney disease, including diabetic nephropathy, which is a complication of diabetes affecting the kidneys.
● "I will keep my HbA1c at five percent": While maintaining a lower HbA1c level is generally desirable for individuals with diabetes, a target of five percent is too low. HbA1c is a measure of average blood glucose levels over the past two to three months. The American Diabetes Association (ADA) recommends an HbA1c target of less than 7 percent for most adults with diabetes, although individualized targets may vary based on factors such as age and other health conditions.
Correct Answer is D
Explanation
"I should feed my baby on demand at least eight times each day": This statement is correct. Breastfed newborns should be fed on demand, following their cues of hunger. Newborns typically need to breastfeed at least eight times per day to ensure they receive enough nutrition and to establish and maintain a healthy milk supply for the mother.
"I will dilute juice with 50 percent water to supplement between feedings": This statement is incorrect. Breast milk or formula should be the sole source of nutrition for a newborn. Diluting juice with water is not recommended for newborns, as it does not provide the necessary nutrients and may fill the baby's stomach without providing adequate nutrition.
"I should use pumped breast milk within 72 hours of refrigeration": This statement is incorrect. Pumped breast milk can typically be stored in the refrigerator for up to 4-5 days, not just 72 hours. It is important for the mother to follow proper storage guidelines to ensure the safety and freshness of the breast milk.
"I will begin and end with the same breast when I feed my baby": This statement is incorrect. The breastfeeding technique known as "switch nursing" is often recommended, especially for newborns. Switch nursing involves offering both breasts during a feeding session to ensure the baby receives hindmilk, which is richer in fat and provides essential nutrients for growth.
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